From Yale: Additional lung nodules in the patient with lung cancer

http://www.ncbi.nlm.nih.gov/pubmed/22054888

Clin Chest Med. 2011 Dec;32(4):811-25.
Additional pulmonary nodules in the patient with lung cancer: controversies and challenges.
Kim AW, Cooke DT.
Source
Section of Thoracic Surgery, Department of Surgery, Yale School of Medicine, 330 Cedar Street, BB 205, New Haven, CT 06520, USA.

Abstract
The optimal management of an additional pulmonary nodule in a patient with a known primary lung cancer is unclear. Additional pulmonary nodules are often identified during pathologic evaluation after resection of a primary tumor rather than before surgery. Although correlating these pathologic data with preoperative information can be useful, their applicability to management and decision making is often limited. This article focuses on the malignant additional pulmonary nodule in the same lobe as the known primary tumor, in a different lobe in the same lung as the known primary tumor, and in the contralateral lung.